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微针导入胶原蛋白联合氨甲环酸治疗黄褐斑对皮损情况及色斑指数的影响

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目的 研究微针导入胶原蛋白联合氨甲环酸治疗黄褐斑对皮损情况及色斑指数的影响。方法 选取2022年4月-2024年4月我院收治的100例黄褐斑患者作为研究对象,根据治疗方法不同分为研究组和对照组各50例。两组均先进行常规口服低剂量氨甲环酸治疗,研究组在常规治疗的基础上给予微针导入胶原蛋白治疗。观察并比较两组的疗效、皮损情况、MASI评分及不良反应情况。结果 研究组总有效率为92。00%,明显高于对照组的70。00%,差异具有统计学意义(χ2=7。862,P=0。005);治疗后,研究组的皮损情况较对照组有所改善,差异有统计学意义(t=25。789,P=0。000);治疗后,研究组MASI评分下降更明显,且研究组治疗3次后MASI评分为(10。25±2。21)分、治疗6次后评分为(7。24±2。53)分,均显著低于对照组(P<0。05);两组不良反应比较,无明显差异(P>0。05)。结论 微针导入胶原蛋白联合氨甲环酸治疗黄褐斑可显著改善皮损情况,降低色斑指数,且安全性良好。该联合治疗方法为黄褐斑的治疗提供了一种新的选择,具有较高的临床应用价值。
The effect of microneedle introduction of collagen combined with tranexamic acid in the treatment of melasma on skin lesions and pigmentation index
Objective To study the effect of microneedle introduction of collagen combined with tranexamic acid on the condition of skin lesions and pigmentation index in the treatment of melasma.Methods Selecting 100 patients with melasma admitted to our hospital from April 2022 to April 2024 as the research subjects,they were divided into a study group and a control group of 50 cases each according to different treatment methods.Both groups received routine oral low-dose tranexamic acid treatment first,while the study group received microneedle guided collagen therapy on the basis of routine treatment.Observe and compare the efficacy,skin lesions,MASI score,and adverse reactions between the two groups.Results The total effective rate of the study group was 92.00%,significantly higher than the control group,s 70.00%,and the difference was statistically significant(χ2=7.862,P=0.005).After intervention,the skin lesions in the study group improved compared to the control group,with a statistically significant difference(t=25.789,P=0.000).After intervention,the MASI score in the study group decreased more significantly,and the MASI score in the study group was(10.25±2.21)points after 3 treatments and(7.24±2.53)points after 6 treatments,both of which were significantly lower than those in the control group(P<0.05);there was no difference in adverse reactions between the two groups(P>0.05).Conclusion Microinjection of collagen combined with tranexamic acid in the treatment of melasma can significantly improve skin lesions,reduce pigmentation index,and have good safety.This combination therapy provides a new option for the treatment of melasma and has high clinical application value.

Micro needlecollagen proteinAminomethylcyclohexaneChloasmaSkin lesionsSpeckle index

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杭州市西湖区蒋村街道社区卫生服务中心,浙江 杭州 310030

微针 胶原蛋白 氨甲环酸 黄褐斑 皮损情况 色斑指数

2025

首都食品与医药
《首都医药》杂志社

首都食品与医药

影响因子:0.389
ISSN:1005-8257
年,卷(期):2025.32(2)